Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lloyd F. Daniels death at Berwick, Kings County on January 13, 1971
Male Death Registration: Year: 1971 number: 1776
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001776
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution W.K.M. Hospital
3. PRINT NAME OF DECEASED Daniels, Lloyd F.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sommerset
9. DATE OF BIRTH 8 27, 1896
10. AGE in Years74 Months4 Days17 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Cassie Gould
16. NAME of Father Nathan Daniels
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lottie Rafuse
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Larimer Daniels
address Burlington, Nova Scotia
Relationship to deceased Son
21. Place of burial Berwick Cemetery
Date of burial January 16, 1971
22. Undertaker H.C. Lindsay Funeral Home, Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 13, 1971
CAUSE OF DEATH
(a) Broncho Pneumonia
(b) Ch. Obstr. Lung Disease
(c) ASCO Disease
other Myocardial Ischaemia Diabetes Mellitus Ch. Br. Syndrome
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